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Published on: August 8, 2015
A communications module to reinforce motivational interviewing concepts.
Rachel A Stafford1, Catherine E O'Brien1, Amy M Franks1
1University of Arkansas for Medical Sciences College of Pharmacy, Department of Pharmacy Practice, 4301 West Markham Street, Slot 522, Little Rock, AR 72205 United States.
Motivational interviewing (MI) training improved pharmacy students' skills. Reinforcing MI principles after an introductory course enhanced student competence in objective structured clinical examinations (OSCEs).
Area of Science:
- Pharmacy education
- Communication skills training
- Patient-centered care
Background:
- Motivational interviewing (MI) is a patient-centered communication technique beneficial for improving medication adherence.
- Teaching and learning MI can be challenging.
- This study details the development and evaluation of an MI module for pharmacy students.
Purpose of the Study:
- To describe the creation of an introductory MI module for second-year pharmacy students.
- To adapt the module for reinforcement after a new first-year MI course.
- To compare MI skill competence between introductory and reinforcement modules.
Main Methods:
- An introductory MI module was delivered to second-year pharmacy students (2012-2013).
- A first-year MI course was implemented (2014), and the second-year module was modified for reinforcement.
- MI skills were assessed using objective structured clinical examination (OSCE) cases before and after the curriculum change.
Main Results:
- Overall OSCE case scores significantly improved after the curriculum change (81.9% vs. 86.9%, p=0.001).
- Specific items assessing MI skills showed significant improvement.
- General communication skill scores remained unchanged.
Conclusions:
- Implementing a foundational MI course in the first year and a reinforcement module in the second year improved pharmacy students' MI skills.
- This educational model effectively introduces and reinforces MI competence.
- The findings provide a framework for integrating MI training into pharmacy curricula.
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